NPIMap

Organization Active NPI

Indigenous Health Coalition LLC

  • Peer Specialist
  • Tucson, AZ
National Provider Identifier
1013655281
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
INDIGENOUS HEALTH COALITION LLC
Practice address
301 W Ajo Way
Tucson, AZ 85713-6040
Phone
(520) 301-7883
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vincent M Flores, PSSNPI 1407493687
Title
Executive Director
Phone
(520) 301-7883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

301 W Ajo Way
Tucson, AZ 85713-6040

Mailing address

301 W Ajo Way
Tucson, AZ 85713-6040
Phone (520) 301-7883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1013655281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136040",
            "telephone_number": "520-301-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136040",
            "telephone_number": "520-301-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGENOUS HEALTH COALITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-301-7883",
        "authorized_official_credential": "PSS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.